Provider Demographics
NPI:1841445087
Name:GJ'S HOME CARE LLC
Entity type:Organization
Organization Name:GJ'S HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:LUCIEN
Authorized Official - Middle Name:
Authorized Official - Last Name:LAMARRE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-735-2244
Mailing Address - Street 1:70 PLATT ST
Mailing Address - Street 2:
Mailing Address - City:ANSONIA
Mailing Address - State:CT
Mailing Address - Zip Code:06401
Mailing Address - Country:US
Mailing Address - Phone:203-735-2244
Mailing Address - Fax:203-735-2273
Practice Address - Street 1:70 PLATT ST
Practice Address - Street 2:
Practice Address - City:ANSONIA
Practice Address - State:CT
Practice Address - Zip Code:06401
Practice Address - Country:US
Practice Address - Phone:203-735-2244
Practice Address - Fax:203-735-2273
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-01
Last Update Date:2008-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTHCA.0000322251E00000X, 251G00000X
CT028257364347C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
No251E00000XAgenciesHome Health
No347C00000XTransportation ServicesPrivate Vehicle
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTHCA.0000322OtherCOMMUNITY HEALTH
CT028257364OtherDRIVER
CTHCA.0000322OtherHOMEMAKER-COMPANION